• The Korean Journal of Pain
• /
• 제36권2호
• /
• pp.216-229
• /
• 2023

Background: The role of the sympathetic nervous system appears to be central in causing pain in complex regional pain syndrome (CRPS). The stellate ganglion block (SGB) using additives with local anesthetics is an established treatment modality. However, literature is sparse in support of selective benefits of different additives for SGB. Hence, the authors aimed to compare the efficacy and safety of clonidine with methylprednisolone as additives to ropivacaine in the SGB for treatment of CRPS. Methods: A prospective randomized single blinded study (the investigator blinded to the study groups) was conducted among patients with CRPS-I of the upper limb, aged 18-70 years with American Society of Anaesthesiologists physical status I-III. Clonidine (15 ㎍) and methylprednisolone (40 mg) were compared as additives to 0.25% ropivacaine (5 mL) for SGB. After medical treatment for two weeks, patients in each of the two groups were given seven ultrasound guided SGBs on alternate days. Results: There was no significant difference between the two groups with respect to visual analogue scale score, edema, or overall patient satisfaction. After 1.5 months follow-up, however, the group that received methylprednisolone had better improvement in range of motion. No significant side effects were seen with either drug. Conclusions: The use of additives, both methylprednisolone and clonidine, is safe and effective for the SGB in CRPS. The significantly better improvement in joint mobility with methylprednisolone suggests that it should be considered promising as an additive to local anaesthetics when joint mobility is the concern.

• The Korean Journal of Pain
• /
• 제8권2호
• /
• pp.328-330
• /
• 1995

A fourty-year-old housewife was admitted to the Department of Ear, Nose, and Throat from the emergency room, because of severe vertigo associated with positional changes of the head. Hallpike maneuver produced typical patterns of bilateral nystagmus consistent with benign paroxysmal positional vertigo(BPPV), and further geotropic rotatory nystagmus with positional change of the head in each direction. Direction of nystagmus reversed when the patients was repositioned upright. Particle repositioning maneuver was administered to her left ear but failed to relieve the severe dizziness associated with the head turning to the right. She was then referred to the patient received 27 SGB treatments and the patients was almost completely healed. It is unusual for the BPPV to occur bilaterally therefore reference concerning the effectiveness of SGB for the treatment of BPPV was difficult to obtain. In conclusion we would like to report the successful treatment of BPPV with SGB.

• Journal of Yeungnam Medical Science
• /
• 제35권1호
• /
• pp.104-108
• /
• 2018

Syncope is defined as a transient loss of consciousness and postural tone, characterized by rapid onset, short duration, and spontaneous recovery. Stellate ganglion block (SGB) is a nerve block method that is used for treatment of neuropathic pain in the head, neck and upper extremities, especially trigeminal neuralgia, postherpetic neuralgia and complex regional pain syndrome. SGB can modulate and stabilize the sympathetic nervous system, which prevents it from overexcitation and improves symptoms of syncope. The authors report a patient who was treated for pain and edema of both upper extremities with SGB, then showed improvement in recurrent syncope followed by chest pain and overall quality of life.

• 동의생리병리학회지
• /
• 제19권3호
• /
• pp.696-704
• /
• 2005

This experiment examined the effect of Samultang-gamibang (SGB) on hair growth in spontaneous alopecia areata C57BL/6N mice. We first investigated hair growth effect of SGB compare to control groups after apply to oral administration for 10 weeks and regional treatment in skin for last 4 weeks. We second investigated the number of hair follicle and mast cells after treatment of SGB in spontaneous alopecia areata C57BL/6N mice for 10 weeks. We third investigated immunoreactive density of neuropeptides in skin of spontaneous alopecia areata C57BL/6N mice by immunohistochemical methods. The results were as follows : Hair growing effect of experimental group was observed from 7 weeks after administration of SGB (87.5%). In experimental group, the number of mast cells and eosinophils was significantly decreased compare to control group. Immunoreactive density of substance P and corticotropin releasing factor (CRF) in skin of experimental group was weakly stained in epidermis and subcutaneous tissue compare to control group. Immunoreactive density of CRF-receptor (CRF-R), CRF-binding protein (CRF-BP) in skin of experimental group was increased in epidermis, sebaceous gland, inner root sheath, outer root sheath and secondary hair germ epithelium compare to control group. These results suggest that SGB may be used in treatment of alopecia areata.

• Korean Journal of Acupuncture
• /
• 제22권1호
• /
• pp.55-66
• /
• 2005

Objectives : This study is a random-controlled post-design for confirmation of headache degree, quality of life, and satisfaction to therapeutical effect on chronic headache adults after management of non-medicinal treatment (acupuncture therapy and stellate ganglion block therapy). Methods : 51 clinical experiment participants were gathered and through a questioutaire patients who experienced headache for more than 4 hours a day and more than 15 days per month were qualified as chronic headache patients. The qualified patients were classified in to two groups, acupuncture group (AT group, n=28) and stellate ganglion block group (SGB group, n=23). Treatment was applied 2 times a weeks for 4 weeks. The effects of both groups were analyzed using VAS scores, BPI (Brief Pain Inventory) and the satisfaction degree to the therapy. Results : 1. The recognized score of the headache of AT group and SGB group was reduced indicating the degree of the headache was released. 2. The recognition at damage to the quality of life was reduced post therapy of AT group and SGB group, in which general activity, mood, enjoyment of life, personal relationship, and sleeping showed significant improvement of life quality, 3. The satisfaction degree to the therapy showed lower score than expectation to it in AT group and SGB group, however, it was not significant. Conclusions : The results showed that the four-week non-medicinal treatment (AT and SGB) in chronic headache patients was effective for reducing headache and releasing its damage in daily life, however, no difference in superiority was found. Therefore, non-medicinal treatment (AT therapy and SGB) could be utilized in chronic headache patients.

• The Korean Journal of Pain
• /
• 제11권2호
• /
• pp.343-345
• /
• 1998

Stellate ganglion block and cervical epidural nerve block are frequently practiced in pain clinics because of simple procedure and good effect. Nerve block at head and neck may produce serious complication such as loss of consciousness and cardiac arrest. Blood supply is rich in neck and inadvertent arterial injection of local anesthetics may enter directly into brain. We experienced convulsion and respiratory arrest during SGB and cervical epidural block. The patients were resuscitated successfully and recovered without any adverse effects.

• Asian-Australasian Journal of Animal Sciences
• /
• 제16권2호
• /
• pp.189-197
• /
• 2003

Soluble glass bolus with selenium (Se), copper (Cu) and cobalt (Co) was administered intraruminally to Philippine grazing does fed under backyard farming conditions to determine its effect on blood mineral status. Forty-five does were dosed with SGB intraruminally every 6 months, whereas 15 were without SGB during this experimental period of 10 months. Blood of does in both treatment groups were collected every other month and blood Se, plasma Cu, Ca, P and Mg were determined in this study. All does did not show clinical Se, Cu, Ca, P or Mg deficiency during this experimental period. Selenium concentration of treated does increased (p<0.01) after beginning of this experiment, whereas the level of control does decreased slowly (p<0.01). Two months after SGB administration, all treated does had higher blood Se than the lower limit of $20{\mu}g/l$ suggested by NRC (1981), whereas some control does had lower blood Se concentration than the lower limit of $20{\mu}g/l$. On the other hand, plasma Cu concentration of treated does started to increase more remarkably than control does 4 months after this experiment had started although the difference was insignificant. There were no significant differences between plasma Ca, P or Mg concentration of does in both treatment groups. Soluble glass bolus had no harmful effects on plasma macro mineral concentrations of grazing does. This study showed that SGB was available as mineral supplement to improve imbalances of selected mineral of grazing goats in the traditional backyard conditions in Luzon Island, Philippines.

• 한국콘텐츠학회논문지
• /
• 제10권11호
• /
• pp.243-250
• /
• 2010

티타늄의 표면처리방법과 저온용융도재의 글레이징 온도 변화에 따른 티타늄-세라믹 보철물의 결합강도와 색조재현성에 관해 분석하고자 하였다. 표면처리방법에 따른 결합강도를 비교한 결과, TiN 코팅 처리한 STB1시편이 가장 높게 나타났으며, 전용결합재를 사용한 SB1시편, gold 코팅 처리한 SGB1시편 순으로 나타났다. 글레이징 온도에 따른 결합강도는 글레이징 온도가 $770^{\circ}C$인 시편들이 $720^{\circ}C$에서 글레이징을 실시한 시편들에 비하여 결합강도가 증가하였으며, $810^{\circ}C$에서 글레이징을 실시한 시편들에서는 결합강도가 감소하는 것으로 관찰되었다. 색조관찰 결과 글레이징 온도가 높아질수록 명도(${\Delta}L$)가 높아졌으며, 티타늄의 표면처리에 의한 색조가 티타늄-세라믹의 색조에 영향을 주었으며, 그 결과 SB1과 SGB3이 색조재현성이 가장 우수한 것으로 평가되었다.

• The Korean Journal of Pain
• /
• 제9권1호
• /
• pp.57-62
• /
• 1996

Stellate ganglion block(SGB) improves cutaneous blood flow of the head and neck region and upper extremity. For this reason, SGB has been performed in neural and circulatory disorders. But there is controversy on the cerebral blood flow regulation by sympathetic innervation. We investigated the hypothesis that cerebral blood flow could be affected by blocking ipsilateral sympathetic innervation of cerebral blood flow could be affected by blocking ipsilateral sympathetic innervation of cerebral vasculature. In 10 volunteers, the blood flow velocity and pulsatility index(PI) of middle cerebral artery(MCA) was measured using Transcranial Doppler Flowmeter, before and 15 minutes after SGB, at block side and opposite side. The blood flow velocity of MCA at block side was increased from $62.60{\pm}7.60$ cm/s to $72.80{\pm}8.01$ cm/s(P<0.01) and the PI at block side decreased from $0.75{\pm}0.12$ to $0.60{\pm}0.11$(P<0.05). But the blood flow velocity and PI at opposite side did not change. This study demonstrated that the cerebral blood flow could be increased by SGB, the preganglionic nerve fibers of which synapse with other cervical sympathetic ganglions.

• The Korean Journal of Pain
• /
• 제19권2호
• /
• pp.197-201
• /
• 2006

Background: There are cases in which shoulder pain persists long after shoulder joint surgery and this pain can not be reduced by intravenous patient controlled analgesia (IVPCA). Our purpose was to evaluate the effect of stellate ganglion block (SGB) on postoperative shoulder pain and also to investigate the effect of preventive SBG on complex regional pain syndrome (CRPS). Methods: Forty patients, who were evaluated to ASA class 1 and 2 and who were scheduled for shoulder joint surgery under general anesthesia, were randomly divided into 2 groups. The experimental group of patients (n = 20) received SGB with 0.5% mepivacaine 8 ml after induction of general anesthesia. The control group of patients (n = 20) received only general anesthesia. Their postoperative pain was assessed using the visual analog scale (VAS) at 30 min, 1, 2, 6, 12, 24 and 48 hours postoperatively. Whenever patients wanted supplemental analgesia, diclofenac sodium 75 mg was injected intramuscularly and the need for supplemental analgesia was recorded. Results: The experimental group of patients had significantly lower pain scores at 30 min, 1, 2 and 6 hours and also significantly lower analgesic requirement at 1, 2 and 6 hours. Conclusions: We found SGB was effective for controlling postoperative pain after shoulder joint surgery. Also, we could expect that SGB reduced the incidence of CRPS.